PHILOSOPHY This camp is intended to provide upcoming high school
PHILOSOPHY This camp is intended to provide upcoming high school seniors with the opportunity to showcase themselves through physical testing and position-specific drills under the direction of the Pittsburg State University Football Coaching Staff. DATE
• • •
Friday, June 1, 2018: 1:00 p.m. - 5:00 p.m. Registration will take place in the Robert W. Plaster Indoor Event Center. Open to 10th - 12th Graders
COST
• • • •
$50 Pre-registered Pre-registration Deadline is May 18 $60 if registered after May 18 Fee covers: Instruction, Camp Insurance and Camp T-Shirt
WHAT TO BRING
• •
Athletic clothing (shorts, T-shirt, socks, etc.) Football cleats (molded or detachable) and running shoes
PITT STATE COACHING STAFF
• • • • • • • • • •
Tim Beck, Head Coach Dave Wiemers - Offensive Coordinator Nate Dreiling - Defensive Coordinator Matt Karleskint - Wide Receivers Josh Lattimer - Defensive Line Luke Miller - Tight Ends John Pierce - Running Backs Carl Roth - Linebackers Keeston Terry - Corners Steve Wells, Offensive Line
SCHEDULE 1:00 pm
- Check-In Begin Testing: Height & Weight / Bench Press (185 or 225 Rep Max Test) Vertical
2:00 pm
- Welcome by Head Coach Tim Beck
2:15 pm
- Warm-up
2:30 pm
- Testing 40 and Pro Agility
4:30 pm
- Competition to finish camp For more information contact: Luke Miller - [email protected]
Name______________________________________________________________________________________________________ Street Address_______________________________________________________________________________________________ City____________________________
State_______
Zip ____________
Cell Phone:_____________________________
School_____________________________________________________________________________________________________ Coach _____________________________________________________________________________________________________ Parent's Home Phone (_____)_______________________________________ Parent's Work Phone (_____)_______________________________________ Grade___________
Ht__________
Position (circle) Offense: T-Shirt size (circle one)
OL S
TE
WR QB
M
L
Wt__________ RB XL
Defense: XXL
DL LB
OLB
S
C
Specialist:
K
P
LS
OL
XXL
NO REFUNDS I hereby grant permission for my child, ________________________________________________________________ to participate in the Tim Beck 2018 Gorilla Elite Camp. My child has not suffered any illnesses in the past that would make participation in the showcase a risk. I further agree to release from any liability, the Tim Beck 2018 Gorilla Elite Camp, its staff, Pittsburg State University and the Kansas Board of Regents for any injury or illness suffered by my child while attending or traveling to or from this showcase. I further authorize the staff of the Tim Beck 2018 Gorilla Elite Camp to act for me in case of any medical emergency because of injury or illness to my child. I acknowledge that I am aware that participation in this showcase will require physical activities of a nature which could result in injury to participants notwithstanding the absence of fault on the part of the showcase, its staff, Pittsburg State University and the Kansas Board of Regents. The showcase staff has explained to me the particular activities to my satisfaction and I am hereby authorizing my child to participate in these activities. ________________________________________________________________ Signature of Parent / Guardian Date ________________________________________________________________ Insurance Company Insurance Policy Make checks payable to "Tim Beck 2018 Gorilla Football Camp" Mail check and registration form to: Tim Beck 2018 Gorilla Elite Camp 1701 S. Broadway Pittsburg, KS 66762 Office Phone: (620) 235-4743
* * NOTE * * If you would like confirmation that your registration & fees have been received, please email us at: [email protected]
• • •
Friday, June 1, 2018: 1:00 p.m. - 5:00 p.m. Registration will take place in the Robert W. Plaster Indoor Event Center. Open to 10th - 12th Graders
COST
• • • •
$50 Pre-registered Pre-registration Deadline is May 18 $60 if registered after May 18 Fee covers: Instruction, Camp Insurance and Camp T-Shirt
WHAT TO BRING
• •
Athletic clothing (shorts, T-shirt, socks, etc.) Football cleats (molded or detachable) and running shoes
PITT STATE COACHING STAFF
• • • • • • • • • •
Tim Beck, Head Coach Dave Wiemers - Offensive Coordinator Nate Dreiling - Defensive Coordinator Matt Karleskint - Wide Receivers Josh Lattimer - Defensive Line Luke Miller - Tight Ends John Pierce - Running Backs Carl Roth - Linebackers Keeston Terry - Corners Steve Wells, Offensive Line
SCHEDULE 1:00 pm
- Check-In Begin Testing: Height & Weight / Bench Press (185 or 225 Rep Max Test) Vertical
2:00 pm
- Welcome by Head Coach Tim Beck
2:15 pm
- Warm-up
2:30 pm
- Testing 40 and Pro Agility
4:30 pm
- Competition to finish camp For more information contact: Luke Miller - [email protected]
Name______________________________________________________________________________________________________ Street Address_______________________________________________________________________________________________ City____________________________
State_______
Zip ____________
Cell Phone:_____________________________
School_____________________________________________________________________________________________________ Coach _____________________________________________________________________________________________________ Parent's Home Phone (_____)_______________________________________ Parent's Work Phone (_____)_______________________________________ Grade___________
Ht__________
Position (circle) Offense: T-Shirt size (circle one)
OL S
TE
WR QB
M
L
Wt__________ RB XL
Defense: XXL
DL LB
OLB
S
C
Specialist:
K
P
LS
OL
XXL
NO REFUNDS I hereby grant permission for my child, ________________________________________________________________ to participate in the Tim Beck 2018 Gorilla Elite Camp. My child has not suffered any illnesses in the past that would make participation in the showcase a risk. I further agree to release from any liability, the Tim Beck 2018 Gorilla Elite Camp, its staff, Pittsburg State University and the Kansas Board of Regents for any injury or illness suffered by my child while attending or traveling to or from this showcase. I further authorize the staff of the Tim Beck 2018 Gorilla Elite Camp to act for me in case of any medical emergency because of injury or illness to my child. I acknowledge that I am aware that participation in this showcase will require physical activities of a nature which could result in injury to participants notwithstanding the absence of fault on the part of the showcase, its staff, Pittsburg State University and the Kansas Board of Regents. The showcase staff has explained to me the particular activities to my satisfaction and I am hereby authorizing my child to participate in these activities. ________________________________________________________________ Signature of Parent / Guardian Date ________________________________________________________________ Insurance Company Insurance Policy Make checks payable to "Tim Beck 2018 Gorilla Football Camp" Mail check and registration form to: Tim Beck 2018 Gorilla Elite Camp 1701 S. Broadway Pittsburg, KS 66762 Office Phone: (620) 235-4743
* * NOTE * * If you would like confirmation that your registration & fees have been received, please email us at: [email protected]
